Most Relevant Information
Provider Data
| NPI Number: | 1003490293 |
| Provider Name: | KEVIN RODRIGUEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/12/2021 |
| Last Updated: | 09/13/2021 |
Provider Practice Location
2531 W WOODLAND DR
ANAHEIM
CA
928012637
Practice Location Phone/Fax
| Phone: | 7142269888 |
| Fax: | 7142269887 |
Provider Mailing Location
2531 W WOODLAND DR
ANAHEIM
CA
928012637
Provider Mailing Phone/Fax
| Phone: | 7142269888 |
| Fax: | 7142269887 |